Thigh Burning & swelling after MISS microdisectomy

///Thigh Burning & swelling after MISS microdisectomy
Thigh Burning & swelling after MISS microdisectomy
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  • AvatarVeer
    Participant
    Post count: 3

    Dear Dr. Donald,
    I am 2 weeks in, after minimally invasive lumber decompression. Extremely pinched nerves at L4-5 and a little compression on L5-S1. Surgeon performed L4-5 but accidentally performed L3-4 instead of the planned L5-S1. Before surgery there was numbness in both legs after standing for even 15 mins. No pain. No weakness. And no problems driving or sitting, but only when standing. Surgery was done almost a year after detection in MRI. After surgery the numbness is gone. Now can stand for long duration without numbness.
    But a new pain has started immediately after surgery. Outer thigh has burning sensation, pain and swelling.
    Please advise. 65 yrs male.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    I will assume that the surgeon worked on the L3-4 level thinking it was L4-5 and did the same on the L4-5 level, thinking it was L5-S1. The L3-4 level houses the L3 and L4 nerves which do supply the outer and anterior thigh regions.

    Where does the outer thigh pain radiate to? Does it go below the knee or stays in the lateral thigh above the knee? Is the pain better or worse with standing or sitting? What happens to the pain if you bend you knee and extend your thigh (bring your leg behind you)?

    Was a new MRI performed? That would be helpful to determine if there is a seroma or recurrent compression, especially in the L3-4 level.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    AvatarVeer
    Participant
    Post count: 3

    Dear Dr. Donald Sir,
    Thank you very much for your quick reply.

    Where does the outer thigh pain radiate to?
    Radiates to nowhere, stays confidential Ned to outer thigh.

    Does it go below the knee or stays in the lateral thigh above the knee?
    Stays in the lateral thigh above the knee

    Is the pain better or worse with standing or sitting?
    Pain is less when standing. More pain when sitting or lying down.

    What happens to the pain if you bend you knee and extend your thigh (bring your leg behind you)?
    No change.

    Was a new MRI performed?
    Not yet, since surgery was done on 20th June 2019

    There is also a swelling on the outer thigh.

    Please help and advise.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6985

    Due to the circumstances, I think a new MRI is appropriate.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    AvatarVeer
    Participant
    Post count: 3

    Will get a new MRI done tomorrow itself and revert.
    Thank you very much doctor.

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